Individual
PHUONG VIET TUAN LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
700 E 21ST ST, CLOVIS, NM 88101-3703
(575) 762-3851
(575) 762-5698
Mailing address
2424 E LLANO ESTACADO BLVD APT M, CLOVIS, NM 88101-4176
(210) 639-5578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
73796
TX
183500000X
Pharmacist
Primary
RP00010096
NM
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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